Phil, Inc. logo
Phil, Inc.

Medication Access, Simplified. We are on a mission to help people get their medications quickly, easily and affordably.

Prior Authorization Specialist

GeneralGeneralFull TimeRemoteSeniorTeam 51-200H1B No SponsorCompany SiteLinkedIn

Location

Arizona + 25 moreAll locations: Arizona | California | Colorado | Florida | Idaho | Illinois | Iowa | New Hampshire | New Jersey | New York | North Carolina | Ohio | Oklahoma | Oregon | Massachusetts | Michigan | Missouri | Pennsylvania | South Carolina | Tennessee | Texas | Utah | Virginia | Washington | West Virginia | Wisconsin

Posted

50 days ago

Salary

$19 - $22 / hour

Seniority

Senior

High SchoolEnglish

Job Description

Prior Authorization Specialist

Phil, Inc.

• Verifies patient insurance coverage utilizing phone or online resources • Submit prior authorizations to insurance plans in a timely manner via electronic portal • Troubleshoots prior authorization submissions and prescription processing with health care providers utilizing phone or online resources • Verbally assist providers in navigating appeals processing • Ensures all pertinent medical documentation is accurate and present prior to authorization submission • Compiles trends in authorization determinations for client and prescriber education • Document activities appropriately in process notes using our operating system • Work closely with our Customer Support team to ensure the success of patients that are recommended to us by their physician's office

Job Requirements

  • Proven team player, but can solve problems independently as well
  • Exceptional written and verbal communication skills
  • Easily adapt to new system and workflow changes
  • Demonstrate experience working in prior authorizations, medical insurance billing, and/or health insurance (required)
  • Working knowledge of ICD-10 codes and prescription drug names (preferred, but not required)
  • Ability to successfully navigate between multiple systems throughout the course of the workday, this includes but is not limited to operational software and vendor portals
  • Demonstrate flexibility to perform duties wherever volume deems it necessary
  • Customer service experience (preferred)
  • Access to reliable, high-speed internet to meet the needs of remote processing (required)
  • Reliable transportation and ability to work in office as required

Benefits

  • Ground floor opportunity with one of the fastest-growing startups in health-tech
  • Fully remote working environment available in the following states: AZ, CA, CO, FL, GA, IA, ID, IL, IN, MA, MI, MO, NC, NH, NJ, NY, OH, OK, OR, PA, SC, TN, TX, UT, VA, WA, WI, WV
  • Solve a problem that matters: be part of a company that uniquely leverages technology to bring wellness to all of its stakeholders

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